Riesgo de desarrollar diabetes mellitus tipo 2 según escala Finnish Diabetes Risk Score en atención primaria / Risk of Developing Type 2 Diabetes Mellitus According to the Finnish Diabetes Risk Score in Primary care

Introducción: La diabetes mellitus tipo 2, representa 90-95 por ciento de todas las diabetes, es una enfermedad crónica potencialmente prevenible, la escala Finnish Diabetes Risk Score es uno de los instrumentos más utilizados a nivel mundial para evaluar el riesgo de presentar diabetes en 10 años con enfoque fácil y económico. Objetivo: Determinar el riesgo de desarrollar diabetes en los próximos 10 años según escala Finnish Diabetes Risk Score en pacientes en una Unidad Médica Familiar de México. Métodos: Estudio transversal analítico, se aplicó la escala Finnish Diabetes Risk Score a 383 pacientes y se analizaron las variables implicadas en dicha escala, las variables edad e índice de masa corporal se describieron con medidas de tendencia central, las variables sexo, escolaridad, así como aquellas dicotómicas y de intervalo, mediante razones y proporciones. Se midió asociación mediante Odds Ratio para dicotómicas y coeficiente de Spearman para numéricas. Resultados: La mediana de edad fue de 47 años, predominó el sexo femenino, el 71,5 por ciento reportó sedentarismo, el 51,9 por ciento refirió un familiar de primer grado con diabetes, se determinó probabilidad del 67 por ciento de tener peso normal al realizar actividad física diaria; se determinó una probabilidad del 65 por ciento de presentar prediabetes si se tiene sobrepeso u obesidad, se determinó asociación lineal entre índice de masa corporal y edad, el riesgo predominante para desarrollar diabetes mellitus tipo 2 en 10 años fue alto. Conclusiones: El riesgo de desarrollar diabetes en 10 años en la población estudiada fue elevado y se relacionó con falta de actividad física, antecedentes familiares y sobrepeso(AU)

Introduction: Type 2 diabetes mellitus, accounts for 90-95 percent of all diabetes. It is a potentially preventable chronic disease. The Finnish Diabetes Risk Score is one of the most widely used instruments worldwide to assess the risk of developing diabetes in 10 years with an easy and inexpensive approach. Objective: To determine the risk of developing diabetes in the next 10 years according to the Finnish Diabetes Risk Score in patients in a Family Medical Unit in Mexico. Methods: Analytical cross-sectional study. The Finnish Diabetes Risk Score was applied to 383 patients and the variables involved in this scale were analyzed. The variables age and body mass index were described with measures of central tendency, while the variables gender, schooling, as well as dichotomous and interval variables, were described by ratios and proportions. Association was measured by Odds Ratio for dichotomous variables and Spearman's coefficient for numerical variables. Results: The average age was 47 years and female gender predominated. Sedentary lifestyle was reported by 71.5 percent and 51.9 percent reported a first-degree relative with diabetes. A 67percent probability of having a normal weight was determined when performing daily physical activity. In addition, a 65percent probability of having prediabetes was established if overweight or obese, and a linear association was found between body mass index and age. The predominant risk for developing type 2 diabetes mellitus in 10 years was high. Conclusions: The risk of developing diabetes in 10 years in the studied population was high and was related to lack of physical activity, family history and overweight(AU)

[Risk factors found in suicide attempters]. / Magnitud de la disfunción familiar y depresión como factores de riesgo para intento de suicidio.

BACKGROUND: A better understanding of risk factors for suicide in general population is crucial for the design of suicide prevention programs. Our objective was to identify personal and family risk factors in suicide attempters. METHODS: Case-control design. We searched in patients with an acute intoxication, those subjects with and intoxication attributable to suicide attempt. These patients were matched with controls by gender and the date of intoxication. We use a structured questionnaire to identify personal characteristics, family features and network support. Odds ratio (OR) and 95 % confidence interval were obtained. RESULTS: 25 cases and 25 controls were evaluated. The risk factors associated with suicide attempt adjusted by age, were being a student and smoking habits. Family violence background showed OR = 3.8 (IC 95 % = 1.1-13), family disintegration a OR = 8.5 (IC 95 % = 2.1-35), critical events background OR = 8.8 (IC 95 % = 2.1-36), poor self-esteem OR = 8.2 (IC 95 % 2-35), depression OR = 22 (IC 95 % = 3-190), anxiety OR = 9 (IC 95 % = 2-47), family dysfunction OR = 25 (IC 95 % = 4-151). CONCLUSIONS: The principal risk factor for suicide attempt was family dysfunction and psychological traits.

[Family dysfunction and paediatric patients with asthma]. / Disfunción familiar en pacientes pediátricos con asma.

OBJECTIVE: To determine family function of pediatric patients with asthma. DESIGN: Cross-sectional study. SETTING: Family medicine clinic number 51, Mexican Institute of Social Security, Primary Care, in Guadalajara, Jalisco, Mexico. PARTICIPANTS: Fifty families were studied; 25 of which had a pediatric patient previously diagnosed with asthma, and a control group of 25 with pediatric patients without asthma. METHODS: From September 2006 to February 2007 family function was evaluated using family APGAR and associations were estimated using odds ratio (OR) and 95% confidence interval (CI). RESULTS: Family dysfunction was more often present in families with asthmatic patients compared to those without; OR=3.7 (95% CI, 1.1-13). Severe dysfunction is markedly higher in families with asthmatic members. CONCLUSIONS: Family dysfunction is more frequent in families with asthmatic children; family functionality should be seen as an important part of the integral approach in those families.

Disfunción familiar en pacientes pediátricos con asma / Family dysfunction and pediatric patients with asthma

Objetivo. Determinar la funcionalidad familiaren pacientes pediátricos asmáticos.Diseño. Estudio transversal.Emplazamiento. Unidad de Medicina Familiarnúmero 51 del IMSS, primer nivel deatención, en la ciudad de Guadalajara, Jalisco,México.Participantes. Se estudió a 50 familias de lasque 25 tenían un paciente pediátrico condiagnóstico de asma previamente establecidoy otras 25 con pacientes pediátricos sindiagnóstico de asma que participaron comogrupo control.Métodos. De septiembre de 2006 a febrerode 2007 se evaluó la funcionalidad familiarmediante el instrumento Apgar familiar, lasasociaciones se determinaron mediante oddsratio (OR) e intervalos de confianza (IC) del95%.Resultados. La disfunción familiar es un factorasociado con mayor frecuencia a familias conpacientes asmáticos en comparación conaquellas que no tienen este tipo de pacientesOR = 3,7 (IC del 95%, 1,1-13), la disfunciónsevera es notoriamente mayor en familias conintegrantes asmáticos.Conclusiones. La disfunción familiar sepresenta más frecuentemente en familias conniños asmáticos, por lo que la evaluación de lafuncionalidad familiar se debe considerarcomo parte del abordaje integral de lasfamilias con niños asmáticos

Objective. To determine family functionof pediatric patients with asthma.Design. Cross-sectional study.Setting. Family medicine clinic number 51,Mexican Institute of Social Security,Primary Care, in Guadalajara, Jalisco,Mexico.Participants. Fifty families were studied; 25 ofwhich had a pediatric patient previouslydiagnosed with asthma, and a control groupof 25 with pediatric patients withoutasthma.Methods. From September 2006 to February2007 family function was evaluated usingfamily APGAR and associations wereestimated using odds ratio (OR) and 95%confidence interval (CI).Results. Family dysfunction was more oftenpresent in families with asthmatic patientscompared to those without; OR=3.7 (95%CI, 1.1-13). Severe dysfunction is markedlyhigher in families with asthmatic members.Conclusions. Family dysfunction is morefrequent in families with asthmatic children;family functionality should be seen as animportant part of the integral approachin those families

Asociación entre apoyo familiar y control glucémico en pacientes con diabetes tipo 2 / Family support and blood glucose control in patients with diabetes type 2

No disponible

No disponible